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C - � <br /> ALTAMONT LANDFILL <br /> C WASTE ACCEPTANCE FORM <br /> CUSTOMER NAME: DELTA OIL FIELD SERVICE <br /> CUSTOMER# -1582. <br /> i <br />!il MATERIAL DESCRIPTION: CLASS U COVER SOIL 4080% <br /> PROFILE#408090 <br /> WASTE SOURCE (County/City location)-LINDEN <br /> E <br /> The informatiaa hated above is aecpsary for acceptance of special waste at the <br /> Altassent LandlUl. <br /> • A copy of this form mot be prescmd with S101W to the Attaumt sale hoose <br /> cone tor. <br /> • This form is for Altamont waste tmddn$ use and is not intended to serve as a 4 <br /> Ccaatomer shipping docusacet. <br /> • Drivers will receive a weight tided for confirmation of disposal. <br /> An akanatire shipping record may be used in lieu of this form if it includes the <br /> Cabove informatim <br /> If ahippmg form is a maniple part form, please notify landfill of which copies to <br /> return with the driver, if not otherwise noted on the form. <br /> FOR ALTAMONT COLLECTOR USE ONLY: <br /> FILL IN TAG!# ASSOCIATED WITH LOAD (USE OUTBOUND#FOR UNTARED LOADS) ` <br /> SCALE ROUSE TAG #- I <br /> DATE / <br /> E TRUCK# <br /> C <br /> i <br /> C <br /> L <br /> I <br />